Ortho elbow without jnt cstm w/fit&adj at Advocate Sherman Hospital
1425 North Randall Road, Elgin, IL · Advocate Health · · NPI 1629026364
$230.00
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$460.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$138.60 with Blue Cross Blue Shield City of Chicago vs $607.95 with HSTechnology — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Blue Cross Blue Shield City of Chicago | Commercial | $138.60 | ↓ -40% |
| Blue Cross Blue Shield Choice | Commercial | $149.60 | ↓ -35% |
| Blue Cross Blue Shield | PPO | $157.52 | ↓ -32% |
| Advocate Employee | Commercial | $173.36 | ↓ -25% |
| United Healthcare Charter | Commercial | $209.00 | ↓ -9% |
| Aetna | Commercial | $211.46 | ↓ -8% |
| Cigna One Health | Commercial | $220.00 | ↓ -4% |
| Cigna | Commercial | $228.80 | ↓ -1% |
| United Healthcare Core Navigate | Commercial | $231.44 | ↑ +1% |
| United Healthcare Nexus | Commercial | $237.60 | ↑ +3% |
| United Healthcare | HMO | $264.00 | ↑ +15% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $312.40 | ↑ +36% |
| Blue Cross Blue Shield | HMO | $317.68 | ↑ +38% |
| Private Healthcare Systems | Commercial | $356.40 | ↑ +55% |
| Multiplan | Commercial | $396.00 | ↑ +72% |
| Molina | Medicare Advantage | $459.13 | ↑ +100% |
| Ambetter | Medicare Advantage | $459.13 | ↑ +100% |
| Oscar Health HMO | Medicare Advantage | $474.96 | ↑ +107% |
| HSTechnology | Medicare Advantage | $607.95 | ↑ +164% |
Visitor-reported prices
Comments
Ortho elbow without jnt cstm w/fit&adj at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Advocate Christ Medical Center | Oak Lawn | $230.00 | $115.92 – $607.95 |
| Advocate Condell Medical Center | Libertyville | $230.00 | $94.16 – $607.95 |
| Advocate Good Samaritan Hospital | Downers Grove | $230.00 | $146.96 – $607.95 |
| UnityPoint Health - Trinity Moline | Rock Island | $630.40 | $157.21 – $506.62 |
| Advocate Illinois Masonic Medical Center | Chicago | $230.00 | $104.42 – $607.95 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $230.00 | $153.56 – $607.95 |
| Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) | Chicago | $218.64 | $368.31 – $368.31 |
| Advocate South Suburban Hospital | Hazel Crest | not published | $459.13 – $1,122.87 |